HomeMy WebLinkAbout2611~...._..r--- - -
- ~ Declaroltio~ of OSq~~~iC~. ~i~~enship
TO THE STATE I-ND COUNTY TAX ASSESSOR.
3t. Luci a couNTY, FIORID/-:
This Is rrry dedaration of pomkile and Citiaanship in the StaN of Florida that 1 am filir-g this day in aooordanoe and
in conformity with Chapter 222,_ Section 222.17. Honda Statutes.
• Nulnti~ Indiana _____
9A----------- -----------------
-I was formerly • legal resident of____--- ~ ---------• puW
Jefferson Street ______. Howtwr, 1 haw charged my domkile
and I resided at __-10~ Nor «~ nw.e.d --------------------
---------- day of
to and am and haw been a bona fide resident of the State of Florida sinoa____---a,tl~t--------- -
'Y __-, i9_.(?l-, end 1 reside at ----1S~1~i--~1Pal~-D~c'i~t8..--
-----------------~---------------- - ..a r~~nb.•)
$t • LuCi a fy Florida
Fort Pierce- _ ~~ _ -------------- Coun .
and this statement is b be taken as my dsdaration of dtizenship, actual legal residence and domkile in the State of Florida.
fWa, wd~ as wM d proPMb w I~wMw~ °f '~ °f ~ ~ farsw dadeW.
giw.t hu.-an1- pKrimnt
r«novd d family to mw donrdM. Owvw. of ho.rM, .~eJ
gstablish>Dn~ residency
10
IN~=~
,.: ~ { ~ - -. 1962 JAN 29 PM I : 45
~`'~ ~T ~o'"' ~ ROGER POITRAS,CIERK
x' :~~~~~`'"`t~-''•G~~1 St. IUCIE COONTY, FLORIDA
--~'GG~r~j.
'' r.., '. ....
e
I FURTHER CERTIFY that 1 will register at my local addNSS when the registration boom reopen, and comply with ail
other requirernentssof alegal nsideM of thb State. -
I FURTHER CERTIFY that i havM no intention to return to my former domkile, and 1 intend to remain in
_-- gt~I,ucie ____________-- county, Florida,
Fad Plaarce
ptarmaneMly. - ~~' ~~ ~ ----
Clark. D. lti1
- --,~~~_3~ ~ ~.~f~~, ---..---------- ~~ -- --- - --- ---- ~- -
. - %~.a .ty;~ti~...- 62 -
•..
Sworn to and wbacdbwdd before me thb_~_----~ ,, , .~'~ ~ ~; -~------ -- --- - --- -
,~ „ -
----.BL~B'~--~~_ - :.,;~ ~ r ' ~'~~ i?-, ~~ Notary Pubik:-------- _
- ---- POITRAS. CIRCUI? COURT ;9 •. •, 1~s ita, . ,
.• ••• ~ ~, aa~i 41rw ali t«e Mlwd.
A` is warr•~ r ~! «~ arW W , - '~ .~.~ , - .
ewe. n. ~~saios ~ -